Individual provider · Type 1 NPI

Andrea Lynn Van de Bruggen, MA

Mental Health Counselor · Portland, OR

NPI number 1851609390 Active

Practice location

1500 NE Irving St, Suite 250
Portland, OR 97232-2243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1851609390

Andrea Lynn Van de Bruggen, MA's National Provider Identifier is 1851609390, issued on Sep 17, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 13, 2012.